DR. NEAL MOLLER (NPI# 1467420257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467420257 |
| Entity Type | Individual |
| Full Name | DR. NEAL MOLLER |
| Credential | MD |
| Practice Address |
35 Casa St Ste 130 San Luis Obispo CA 93405-1887 |
| Practice Telephone | 8055411422 |
| Practice Fax Number | 8055951815 |
| Mailing Telephone | 8055411422 |
| Mailing Fax Number | 8055951815 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2019-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
G55535 | CA | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036078744 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1777 Green Bay Rd, Suite 200, Highland Park, IL 600353297 | 8474333460 | 8474334062 |
| Street Address |
35 CASA ST STE 130 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93405-1887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629518725 | Megan Burkett | Nurse Practitioner | 35 Casa St Ste 130, San Luis Obispo, CA 93405-1887 | 2017-03-08 |
| 1629480272 | Krystal Angeli Aquino Valdez | Internal Medicine | 35 Casa St Ste 130, San Luis Obispo, CA 93405 | 2014-05-29 |
| 1003103805 | Rabab Hajar | Internal Medicine | 35 Casa St Ste 130, San Luis Obispo, CA 93405-1887 | 2011-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076626 | Hilary Abbott Anderson | Physician Assistant | 127 Casa St., San Luis Obispo, CA 93405 | 2019-08-01 |
| 1811465834 | Fatemeh Ladan Ahmadinia | Dentist | 764 N Santa Rosa St, San Luis Obispo, CA 93405 | 2018-11-07 |
| 1538559794 | Arnold Martin Horwitz | Marriage & Family Therapist | 1605 Garnette Drive, San Luis Obispo, CA 93405 | 2015-01-27 |
| 1750794764 | Solmaz Naghsh | Pharmacist | 765 Foothill Blvd, San Luis Obispo, CA 93405 | 2014-06-06 |
| 1609293471 | Robert S. Flores Dmd, Inc | Dentist | 878 Boysen Avenue, San Luis Obispo, CA 93405 | 2014-03-18 |
| 1457776445 | Laura Anne Wilvert | Marriage & Family Therapist | 793 E. Foothill Blvd, Suite A, #278, San Luis Obispo, CA 93405 | 2014-02-27 |
| 1497181200 | Tracey Ruby Madrigal | Counselor | 1106 Oceanaire Dr. #25, San Luis Obispo, CA 93405 | 2013-09-25 |
| 1437597572 | Sarah Michelle Brenis | Counselor | 524 Princeton Place, San Luis Obispo, CA 93405 | 2013-06-11 |
| 1013350974 | Jenna Rose Ramos | Counselor | 1459 Descanso St., San Luis Obispo, CA 93405 | 2013-04-10 |
| 1700140696 | Christopher Dieterich Marchand | Social Worker | 793a E. Foothill Blvd, 190, San Luis Obispo, CA 93405 | 2012-06-26 |
| Find all providers in zip 93405 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790822252 | Phillip M. Colbert, Md,, A Medical Corporation | Internal Medicine | 77 Casa St Ste 108, San Luis Obispo, CA 93405-5804 | 2007-01-31 |
| 1740359215 | Steven W Carlson | Internal Medicine | 1551 Bishop Street Suite 250, San Luis Obispo, CA 93401 | 2006-11-07 |
| 1366427221 | Paul D Wetzel | Internal Medicine | 1551 Bishop St Ste 510, San Luis Obispo, CA 93401-4665 | 2005-12-13 |
| 1427039916 | Vance D Rodgers | Internal Medicine | 1551 Bishop St Ste 230, San Luis Obispo, CA 93401-4661 | 2005-11-10 |
| 1801897012 | Mick Scott Meiselman | Internal Medicine | 1551 Bishop St, Suite 230, San Luis Obispo, CA 93401-4635 | 2005-08-10 |
| 1285186106 | Mick S. Meiselman, M.d., Professional Corporation | Internal Medicine | 1551 Bishop St, Suite 230, San Luis Obispo, CA 93401-4635 | 2016-10-26 |
| 1003103805 | Rabab Hajar | Internal Medicine | 35 Casa St Ste 130, San Luis Obispo, CA 93405-1887 | 2011-06-30 |
| 1851526594 | Gary L. Cushing, M.d., A Medical Corp. | Internal Medicine | 1551 Bishop St Ste 510, San Luis Obispo, CA 93401-4665 | 2009-05-26 |
| 1831381292 | Gary L. Cushing, Md | Internal Medicine | 1551 Bishop St, Suite 510, San Luis Obispo, CA 93401-4635 | 2007-08-09 |
| 1235321688 | Steven W. Carlson, Md | Internal Medicine | 1551 Bishop St, Suite 250, San Luis Obispo, CA 93401-4635 | 2007-08-09 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.